# IOWA ORTHOPAEDIC CENTER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IOWA ORTHO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669579785
- **Authorized official:** JAMIE MCDONALD (CEO)
- **Authorized official phone:** (515) 247-8400

## Contact information

- **Practice address:** 450 LAUREL ST, STE A, DES MOINES, IA 50314-3045
- **Practice address phone:** (515) 247-8400
- **Practice address fax:** (515) 248-8888
- **Mailing address:** 450 LAUREL ST, STE A, DES MOINES, IA 50314-3045
- **Mailing address phone:** (515) 247-8400
- **Mailing address fax:** (515) 248-8888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | — | NULL | — |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | — | — | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | NULL | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | NULL | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | NULL | — |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | — | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | NULL | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 01/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0271775 | — | IA |
| 01 | — | 27177 | MEDICARE | IA |